Metzler Philipp, Zemann Wolfgang, Jacobsen Christine, Grätz Klaus Wilhelm, Obwegeser Joachim Anton
University of Zurich, Zurich, Switzerland.
J Craniofac Surg. 2013 Jan;24(1):146-9. doi: 10.1097/SCS.0b013e318260efb9.
Various techniques for the correction of sagittal craniosynostosis have been described in the literature. Nevertheless, there is a lack of consensus regarding surgical procedure and timing, although a long-term anthropometric analysis may shed light on this controversy. The aim of the current study was to collect serial anthropometric data of children before and after total cranial vault remodeling and to evaluate cranial vault growth pattern. Twenty-nine Swiss children with a surgical age between 8 and 10 months were included in this 5-year follow-up. Anthropologic data of sex- and age-matched healthy Swiss children served as a control. A standardized time protocol (before, after, 6 wk after surgery, 6 mo after surgery, and then annually until the age of six) for anthropometric skull measurements (head circumference, cranial length, breadth, and cephalic index) was used. Data were converted into the z score for standardized intercenter comparison. Postoperatively, all patients showed a marked benefit in cranial vault shape. Significant differences in long-term cranial growth pattern could be seen and a relapse into a dolichocephal skull growth. Both observations were rated as clinically irrelevant.
文献中已描述了多种矫正矢状缝早闭的技术。然而，尽管长期人体测量分析可能有助于阐明这一争议，但在手术程序和时机方面仍缺乏共识。本研究的目的是收集儿童全颅穹隆重塑前后的系列人体测量数据，并评估颅穹隆生长模式。29名手术年龄在8至10个月之间的瑞士儿童纳入了这项为期5年的随访研究。性别和年龄匹配的健康瑞士儿童的人类学数据用作对照。采用标准化的时间方案（术前、术后、术后6周、术后6个月，然后每年直至6岁）进行颅骨人体测量（头围、颅长、颅宽和头指数）。数据转换为z评分用于中心间标准化比较。术后，所有患者的颅穹隆形状均有明显改善。可以观察到长期颅骨生长模式存在显著差异，且出现了向长头型颅骨生长的复发。这两种观察结果在临床上均被认为无关紧要。
